hemoglobin

Haemoglobin Under Control Together with Canadian Health Care Mall

Canadian Health and Care Mall experts answers

I have suffered from diabetes for twelve years already. Now I take insulin as the main preparation.I am in a constant contact with my consulting physician and attend the hospital every two months. Besides I understand my health depends on my own efforts that’s why I make blood glucose test at home. My last consultation with the doctor has persuaded him that it is not necessary for me to visit him so frequent because my HbA1c was consistently normal .

HbA1c as indicator of Diabetes Control

Is he right making such a decision?

It seems the doctor is sure you are ready to take your diabetes under control. You live together with the disease for a long time that’s why you realize how dangerous the ramifications may be. But sometimes the thought the doctor will be always present in your life may help to become responsible that’s why you may take a deal to meet twice a year. You should understand if something is going wrong you may address the doctor and he will help you immediately.

My treatment lies in the diet only. It is rather difficult to follow the diet and do blood tests at home but I try to do this even before I am going to visit the clinic and my blood glucose test is usually normal. My blood glucose was 4 mmol/L during last analyses results. It turns out the doctor is not satisfied with it because he guesses I do not follow all his recommendations. My HbA1c was too high at 10%.

How is he able to guess?

Out of your story we may come to a conclusion that it seems you do not realize all the seriousness of the disease you suffer from. You cannot even envision how dangerous it is for your life. And the doctor understood it due to your HbA1c. Only constant and strict following of the doctor’s prescriptions may help you to get rid of the severe symptoms.

Less than 5%. Blood glucose test was on average about 5 mmol/litre. The specialist asked me check the data one more time at 2 a.m.

What is the reason of it?

A low HbA1c offer at some stage your blood glucose levels are falling extremely low. If you do not observe hypoglycaemic attacks during the day, then it is rational that they are occurring at night. Doing a test at 3 a.m. you should be able to identify whether this is real or not. This will help you to control the condition of your health because during sleep you may have an attack which influences the general health state.

My doctor prescribes me for diabetes treatment diet and gliclazide tablets. I have lost weight due to the diet but my HbA1c test is still too high at 9% and does not seem to be lowered. Last visit to doctor made me shocked I should make insulin injections.

I am interesting whether the doctor is right or not?

It is a comman fact that people feel panic hearing insulin injections but if your diabetes cannot be taken under control and this is the reason for your weight loss. The only thing which may help you is insulin. Be ready to realize it is the way out in case of having such a disorder.

tadalafil

The Use of Tadalafil for the Treatment of Pulmonary Arterial Hypertension

Tadalafil, which is the main component of Cialis, is used not only for treating male impotence but also for some other health conditions. PAH is one of them.

What is Pulmonary Arterial Hypertension?

Pulmonary arterial hypertension (PAH) is a chronic condition featuring increased resistance in the pulmonary vessels, as well as increased arterial pulmonary pressure. It is worth noting that in recent years, the treatment methods of this disease have significantly improved. Moreover, these methods have become more accessible. However, specialists are faced with numerous difficulties in the treatment of PAH. This disease is hard to treat, cause severe discomfort to individuals, and ultimately is beyond cure. Patients with PAH experience significant increase in the lung vessels’ resistance and elevated pulmonary arterial pressure due to the impairment of the process of blood flow in the lungs. Ultimately, fibrosis of the pulmonary vasculature and even heart failure (in the right ventricle) may occur.

Symptoms and Types of PAH

In most cases, patients suffering from PAH complain of shortness of breath even when doing slight physical activity. In addition, the disease is characterized by the following symptoms: fatigue, angina pectoris, weakness, syncope, swelling of the lower extremities, and accelerated heartbeat. PAH is classified according to the severity of the symptoms, as well as the level of physical activity of the patient.

The classification, formed according to the WHOS’s scheme of functional classification is the following:

  1. Patients, who belong to the 1st WHO Class, are not restricted to have any physical activity. They have no symptoms (fatigue, chest pain, dyspnea or near syncope) while doing general physical exercises;
  2. Patients of the 2nd WHO Class have to follow some insignificant physical activity limitation. They experience slight symptoms during ordinary activity;
  3. Patients, who belong to the 3rd WHO Class have pronounced symptoms while doing slight physical activity;
  4. At last, WHO Class 4 patients suffer from severe symptoms even while carrying out minimal physical activity. Moreover, they suffer from some symptoms even at rest.

How PAH Can be Treated?

Pulmonary hypertension manifests itself differently in different persons. That is why, there is no generally accepted treatment course. Consult your healthcare professional to choose appropriate treatment according to your needs.

Firstly, the doctor should determine the causes of your disease. For instance, you will have to treat emphysema is it is the PAH cause in your occasion.

Most persons want to eliminate their breathing problems, which prevent them from leading an active lifestyle.

If you suffer from the lack of oxygen level and have short breath, you will be prescribed oxygen therapy, which implies breathing pure oxygen with the help of special prongs, which are put into your nose. It will improve your quality of life significantly. In case of the risk of blood clots, you will be advised to take anticoagulant meds. Some medications are aimed at improving the work of patient’s heart and maintaining the necessary level of liquid in the body.

In case of pulmonary hypertension of high severity, you will be probably prescribed meds, which block calcium channels (Ca-antagonists). These medications aimed at lowering pressure of blood in your lungs and other body parts. If calcium antagonists cannot deal with all symptoms, you will be recommended to visit a clinic specialized on treating this medical condition.

There you will get more efficient therapies, including pills or breathe medications, injections etc., aimed at improving your blood vessels’ condition.

According to the WebMD they may be as follows:

  • Tabs: selexipag (Uptravi brand name), tadalafil (Cialis brand name), sildenafil (Revatio brand name), and some others;
  • Inhalers: treprostinil (Tyvaso brand name), Iloprost tromethamine (Ventavis brand name);
  • Injection meds: treprostinil, epoprostenol sodium.

If your health condition is more severe and drugs are helpless at treating the disease, you may be advised to undergo a surgery (lung transplantation), which is also called atrial septostomy. The surgery implies making opening between the patient’s heart sides. However, this procedure can cause serious adverse effects.

How Can Tadalafil Help for PAH?

As you have already seen above, special tablet with tadalafil is available for the treatment of this disease. This tablet is called Adcirca but may also be available under generic name (simply tadalafil).

Tadalafil, which is a PDE5 inhibitor, is administered orally once per day for treating PAH. Doctors recommend patients to include tadalafil in their treatment regimen if they belong to 2nd or 3rd PAH classes according to the WOH classification. Unfortunately, it will be ineffective if the disease has already moved to the fourth stage.

Persons, who follow placebo-controlled treatment, experience increasing of their state of health after physical activity (they improved 6-min distance in the middle tempo and do not feel any discomfort) after taking tadalafil. Moreover, patients say that they feel the overall increasing of their life quality and improved dynamics of blood flow.

Generally, there are light side effects, which can occur during the treatment with tadalafil. The rates of therapy termination are not frequent.

The main characteristics of this drug are the following:

  1. Tadalafil is the only PDE-5i drug for PAH trading, which is taken once in a day. For example, Revatio tablet (sildenafil) should be administered 3 times per day every 4 or 6 hours.
  2. Tadalafil is efficient for exercise ability enhancing.
  3. Tadalafil is completely safe and effective for children.
  4. The most widespread side effects the med can cause are flushing, headache, muscle pain, painful sensations in the different body parts, nausea, congested nose and upset stomach.

According to Adam M. Henrie’s research held in 2015, tadalafil can help to improve quality of life and time to worsening of the symptoms.

Safety Considerations

  • First of all, all your conditions/diseases should be discussed with your doctor for the sake of choosing the most appropriate scheme of treatment.
  • Simultaneous taking of tadalafil and any drug with nitrates (such medications are usually used for chest pain elimination) or stimulators of guanylate cyclase (for instance, Adempas) is prohibited. Such a combination can lead to sudden arterial pressure reduction.
  • In case of being allergic to tadalafil or any component of the pill, do not take this medical remedy.
  • Tell your health care provider about any side effect, in particular chest pain, that is caused by tadalafil.
  • PDE-5i meds can lead to blood vessels’ widening, which subsequently decreases blood pressure. That is why, in case of suffering from heart disease or low arterial pressure, make sure to tell your healthcare professional about it. The conditions above may be deteriorated under the tadalafil action.
  • The drug isn’t advised for those persons, who have pulmonary veno-occlusive disease (blockage in lungs veins).
  • In case of combining with alcoholic drinks as well as with antihypertension meds (for example, α-blockers), tadalafil can lead to arterial pressure lowering & hypotension.

ED – the Main Field of Tadalafil Use

PAH is a severe illness but it is relatively rare. Tadalafil (its brand name is Cialis) is used to treat erectile dysfunction (ED) in males more often. While getting into the body of a man, the main active substance of Cialis causes a whole chain of processes that lead to active blood filling of the penis. As a result, relaxation of the cavernous bodies of the genital organ is observed under the action of the drug. The widening of the blood vessels occurs, which leads to an active inflow of blood to the genital area. Many male persons suffering from erectile problems of varying severity prefer Cialis. Thanks to many advantages, this medication takes one of the leading positions in its segment.

Here are main advantages of the drug:

  • it has high efficiency;
  • it can be taken daily or on demand;
  • it is well-tolerated by the body, side effects occur rarely;
  • it can be used for a long time without causing addiction;
  • it works quickly (about half an hour after administration);
  • it is compatible with any food and alcohol (in moderate dosages);
  • it has a long-lasting effect (up to thirty-six hours, which is its topmost advantage).

The main disadvantage of Cialis is its high cost. But if you choose the generic Cialis at the Canadian pharmacy, the price will please you nicely. At the same time, its effectiveness is not lower than that of the original drug. This is due to the fact that it is manufactured by generic drugmakers who simply use the tadalafil formula invented by Eli Lilly (the original developer).

Other medications for the treatment of erection problems include Viagra, Levitra, and Stendra.

Diabetes and Overweight

Treatment Diabetes and Overweight

I suffer from obesity and do my best to lose about 25 kg. I love sweats, ice cream I like everything what contains non dairy fats. May I lose the weight keeping such a lifestyle?

Anonymous

You can include a little bit of ice-cream in your diet plan. Non dairy fats mean that the manufacturers have used vegetable fats, which contain just as many calories as milk fat. Most ice cream has about ten per cent fat and around eighty to one hundred calories per portion. You may buy ice-cream of lesser calories but it is more expensive in comparison with other types of ice cream. In such a way you should decide whether the game is worth the candle. I have heard that there is a new pills for appetite decrease on the market but is it suitable for people with diabetes?

Medications

It is important to know that both appetite lowering drugs are now no longer available. Now we are going to know more about these drugs.

  • Rimonabant gained license for been used in the UK in 2006 and was sufficient in losing weight. But there was so many side effects including depression that is why it was discontinued in 2008.
  • Sibutramine (Reductil) could be taken by all kind of people except the patients with heart diseases or hypertension. In January 2010, the government claimed that Sibutramine should no longer be used because of severe side effects.

Treatment weight loss and diabetes in Canadian health care mall – MyCanadianHealthCareMall.com

Orlistat

A further drug suitable for use in diabetes is orlistat (Xenical). The key element is that in the stomach and small intestinal canal the fat from food is digested. This loss of fat is calories loss and therefore can become a result of weight loss. It is reasonable that a low fat diet is followed to lessen side effects. If you test this method of weight loss, it is advised that you may use of helpline to be answered the questions.

That’s a petty that two preparations for weight loss have been taken out from sellings. But there is one opportunity to take them but only in case of ineffectiveness of other drugs for diabetes treatment.

headache

Headache Treatment with My Canadian Pharmacy

General Information

Headache is one of the most spread medical problem because each man on the Earth even once was suffering from this disorder. Sometimes people live with headache, someone doesn’t know exactly what it is to suffer from headache. Headache may be a chronic one but it doesn’t mean this disease is a warning of some other severe complications. But you should be attentive because the character of headache may change absolutely and  in this case you’d better consult the doctor and undergo the medical screening.

Health is not a vital substance which can be easily restored.

Types

There are different types of headache:

Importance of Free Health Care

People are not eager to attend outpatient hospitals because not all services are free so they believe they will spend too much money there. That is the main reason why they prefer to endure the pain than to consult the doctor.

But for example, Canadian Health Care provides their citizens with the free service in each hospital. They believe it is the only way out to support their citizens and let them believe in the country they live in and in the government they can trust.

Even headache may be manifested in the severe disorder which should be treated immediately that’s way the medical service should be free for all categories of people. Of course, there are private health care facilities with some amount of charged services but the price should not be so awfully high.

Treatment

First of all, you have to know the type of your pain.  There are a lot of drugs which can help you. And they have different active substance and effect depending on the certain type of headache.

There are such drugs as:

If you do not want to take drugs to relieve the pain you’d better to lay down and sleep. Sometimes headache is caused by the overwork when we oversell our abilities. The rapid tempo of living nowadays makes us be in a hurry every time, it seems we are sleeping also hurrying but nowhere. We forget what it is to have rest, we are all the time in motion and have no time to relax that’s why we feel uncomfortable and suffer from headache.

pain_children

Things to Know About Ulcer at Children

General Information

The ulcer is known in scientific literature as peptic ulcer disease. This chronic disease which passes with relapses is shown by existence of ulcerous defect in mucous membrane of stomach and/or duodenum.

Also during the disease other organs of gastrointestinal tract suffer therefore symptoms can be various. The illness alternates aggravations and remissions. Most often girls suffer from ulcer but male persons are more subject to the combined ulcers. Most often girls suffer from ulcer but male persons are more subject to the combined ulcers

Complications

Children can have an uncomplicated peptic ulcer disease or with complications.

Among complications the most widespread are:

Acidity of gastric contents and condition of motor function can be normal, raised or lowered.

There may be allocated clinic endoscopic stages beginning with the first till the fourth.

  1. The first stage is recent ulcer.
  2. At the second stage begins epithelization of ulcerous defect during which the pink hem is formed.
  3. At the third stage the ulcerous defect is healed at the expressed gastroduodenitis.
  4. At the last stage there is clinic endoscopic remission.

Causes

Peptic ulcer disease is provoked by such alimentary factors:

  • excessive use greasy,
  • spicy,
  • fried, rough food,
  • the use of too high volume of food because of which the stomach stretches that, in turn, stimulates secretion,
  • nonsystematic meals, big breaks between them.

The infectious factor is Helicobacter pylori infection. This bacterium causes local and general immune reactions that provoke damage of fabrics to the infection center.

There are the following reasons of the second appearance of ulcer:

Treatment

The best method of treatment is to attend a doctor and undergo medical screening. First of all, if the diagnosis is proved by a doctor you may work out a treatment plan which help you to overcome this health problem.

All the diseases should be treated immediately that’s why the time comes to be examined by a professional.

Canadian HealthCare Mall will become your teammate. It is a pharmaceutical company which is ready to ship different kinds of drugs necessary for treatment of any disorder you suffer from.

pain_back

Treatment and Causes of Radiculitis

General Information

Radiculitis is a nervous system disease which is characterized by root of spinal nerve disorder. The main symptom of this disease is a back or neck pain in a damage place.

Causes

Radiculitis arises being caused by a spinal nerves inflammation.

The main reason for a disease is osteochondrosis which hasn’t been cured in time. Old spine injuries, spinal disc herniation, calcination of cartilages and joints can sometimes provoke a disease. In some cases stressful situations, a metabolic disorder, infectious diseases, a raising of weights can give an impetus to development of a disease.

Symptoms

The main symptom of radiculitis is pain which localization depends on a damage place. Pain can be dull, acute and sharp, periodic or constant, bringing the patient to be exhausted. Also decrease in muscular strength weakness, sleep, tingling and burning is observed.

Types

Radiculitis is subdivided into such types depending on a place of spinal nerves damage:

  • cervical and cervicobrachial;
  • thoracic;
  • lumbar.

Cervical

Cervical radiculitis is characterized by root of spinal nerve damage in cervical region of vertebral column. The main symptom of cervical radiculitis is a neck pain which extends on hands muscles. Pain has a sudden character and may develop when head rotation. It is difficult for a patient to find a convenient pose for sleeping, the sharp a neck and hands pain can disturb at night. Pain can be weakened a little, accurately turning or inclining the head. Muscular force in hands up to total loss of sensitivity can weaken considerably.

Thoracic

Thoracic radiculitis is characterized by localization of a disease in thoracic spine. It meets less than lumbar or cervical.

Symptoms of thoracic radiculitis is pain, tingling and thoracic limb sleep, and also muscular force weakness. Osteoarthritis, discal hernia, osteophyte and various spine injuries can be the reasons of disease development.

Lumbar

Lumbar radiculitis is the most widespread form of a disease. The place of localization is a lumbar spine. Sometimes lumbar radiculitis is called an ischialgia.

Treatment

Let’s speak about the treatment of radiculitis. Radiculitis brings its sufferers discomfort to such extent that they are not able to move besides the treatment is a long-term and undertaking process.

In this case earlier the treatment is applied faster you will receive the result.

Treatment of radiculitis is a complex and directed not only on decrease in pain, but also on restoration of mobility and normal functioning of vertebras. Drug treatment of radiculitis includes purpose of anti-inflammatory preparations, anesthetics, vitamins of group B, and also the warming means.

At radiculitis physiotherapy exercises, manual therapy and medical massage are recommended. Treatment of radiculitis includes both medicamental, and non-drug methods that allow to reach the maximum effect. To speak about drugs you may check out the website of Canadian Health&Care mall, a drug store providing with an outstanding service and well qualified drugs.

gastritis

Everything about Gastritis

General Information

Gastritis is an inflammation of a gastric mucosa. This is one of the most frequent diseases of a digestive tract recently gaining the increasing distribution. Considering that the stomach is a key element in food splitting it is clear why this disease is reflected not only in all digestive tract, but also in all without exception systems of an organism, considerably reducing quality of patient’s life.

Causes

It has been considered for a long time that the main reasons of gastritis are an improper feeding and a constant psychoemotional state.

However, the Australian scientists Robin Warren and Barry Marshall during the conducted researches convincingly proved that the leading role in gastritis development belongs to Helicobacter pylori.

 

Helicobacter pylori is the bacterium which managed to adapt to high acidity, and living in a gastric mucosa, adjoining there to glands releasing causticus hydrochloric acid.

Infection transfers airborne: through the general ware, toothbrushes, kisses, etc. Before discovery of Warren and Marshall such was considered impossible, it was supposed that hydrochloric acid destroys all microorganisms.

In 2005 scientists got the Nobel Prize for the opening as it allowed to develop effective treatment of gastritis and stomach ulcer.

Types

According to the disease character we distinguish acute gastritis and chronic gastritis.

According to the inflammation type gastritis shares on the following forms:

  • Erosive gastritis at which the bleeding erosion on a gastric mucosa are formed;
  • Superficial gastritis at which only the top layer of a gastric mucosa is involved in process;
  • Atrophic gastritis;
  • Hypertrophic gastritis;
  • Gastritis with the increased gastric juice secretion;
  • Gastritis with the lowered secretion of gastric juice.

Treatment

It is very important to treat gastritis timely because it may really destroy even all functions in the organism that’s why do not put this problem into a cold storage and the way out may be drugs sold by Canadian Health&Care mall. It is a very famous pharmaceutical company carrying out their activity in the Internet and shipping drugs internationally.

Gastritis basic of treatment is an antibiotic therapy to which Helicobacter pylori is sensitive and the preparations contain bismuth salt. The antibiotic destroys Helicobacter pylori, and bismuth salt promote healing of the gastric mucosa formed defects. The preparations reducing secretion of gastric juice, anesthetizing and spazmolitik can be in addition appointed.

However it is necessary to point out that nonsteroidal anti-inflammatory drugs are not suitable for gastritis treatment. These preparations are a factor of the increased risk of gastritis formation as irritate a gastric mucosa.

During remission of chronic gastritis effectively treatment of gastritis with application of mineral waters for what usually to the patient appoint sanatorium treatment.

Do not remember to consult the doctor and check out the website of Canadian Health&Care mall, an Internet supplier of drugs.

smoking

Nervous System and Smoking

Nervous system

The nervous system is divided on central and peripheral. The central nervous system consists of Cerebrospinal axis. Peripheral includes nerves which connect the central nervous system with all other organs. It is also distinguish the so-called vegetative nervous system consisting of the sympathetic and tenth cranial nerves which go to the same internals and regulate in them the processes which aren’t depending on consciousness of the person. Action of the sympathetic and tenth cranial nerves are opposite. At the normal level of excitability of both parts of vegetative nervous system internals function correctly. At violation of its normal activity there are so-called vegetative neurosis.

Smoking

The doctrine about acquired reflexes helps to explain influence of smoking on the organism: when the person for the first time begins to smoke a cigarette, he immediately has a protective reflex namely cough. Some people at poisoning with tobacco have nausea and vomiting. At the smoker who is repeatedly smoking after a lunch the conditioned reflex is developed: once he eats, already there is a wish to light.

The type of cigarettes and the smoking people, a room situation where the person smoked all the time are the conditional irritants promoting that the hand reaches for a pack. Not without reason smokers, having changed scenery, rather easily give up smoking. However they should return to work as the requirement to smoke arises again, though to a lesser extent. It can disappear only in case the person once and for all decides to be exempted from smoking. To become free from smoking you may together with Canadian Health&Care Mall at https://mycanadianhealthcaremall.com.

Nicotine

Nicotine is the strongest poison. Especially active it affects the vegetative nervous system, breaking its regulating influence on inner organs work. Frustration of cardiovascular system and digestive organs at smokers in many respects depend on violations of vegetative nervous system functions. Chronic poisoning with nicotine affects and higher nervous activity of smokers. They quite often have memory disorders. These violations take place soon after the smoking termination. Neuropathologists repeatedly observed the development of epilepsy in smokers: the termination of smoking facilitated disease recurrence or completely liquidated attacks. Though nicotine in these cases was also not a cause of illness, but it promoted its manifestation at these patients. If you are smoking you’d better to check out the website of Canadian Health&Care Mall to find the preparation effective to help you to give up smoking – www.chantixhome.com.

Overall…

Overfatigue of nervous system and nervous debility also often arise at experienced smokers. People working hard and keeping unhealthy lifestyle push their organism to smoke more which may lead to much overfatigue, to the possibility to smoke more and more. As a result of this actions dizziness, headaches, insomnia and giddiness appear.

It is better not to begin smoking at all because it makes more harm than good. It is not fashionable already to stay and smoke, it doesn’t make you beautiful or cool as the teenagers think. To be cool you should live in harmony with yourself and behave as you get used to do.